Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc

Specialty details in registry · Temple Hills, MD

Call (301) 702-6100 Directions

At a glance

6104 Old Branch Ave, Temple Hills, MD 20748-2518

NPPES record updated Oct 10, 2025. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

6104 Old Branch Ave
Temple Hills, MD 20748-2518
Professional details: NPI, taxonomy & registry record
NPI1790806925
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
302R00000X
Enumeration date
Apr 3, 2007
Record updated
Oct 10, 2025
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

302R00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

6104 Old Branch Ave
Temple Hills, MD 20748-2518
Phone
(301) 702-6100
Fax
(301) 702-6289
Mailing address
4000 GARDEN CITY DR

HYATTSVILLE, MD 207852418
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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